The high frequency of HPV16 AA variants, which appear to be more oncogenic than E variants, might contribute to the high incidence of cervical cancer in Mexico.

The effect of preventive human papillomavirus (HPV) vaccination on the reduction of the cervical cancer (CC) burden will not be known for 30 years. Therefore, it’s still necessary to improve the procedures for CC screening and treatment. The objective of this study was to identify and characterize cellular targets that could be considered potential markers for screening or therapeutic targets. A pyramidal strategy was used. Initially the expression of 8,638 genes was compared between 43 HPV16-positive CCs and 12 healthy cervical epitheliums using microarrays. A total of 997 genes were deregulated, and 21 genes that showed the greatest deregulation were validated using qRT-PCR. The 6 most upregulated genes (CCNB2, CDC20, PRC1, SYCP2, NUSAP1, CDKN3) belong to the mitosis pathway. They were further explored in 29 low-grade cervical intraepithelial neoplasias (CIN1) and 21 high-grade CIN (CIN2/3) to investigate whether they could differentiate CC and CIN2/3 (CIN2+) from CIN1 and controls. CCNB2, PRC1, and SYCP2 were mostly associated with CC and CDC20, NUSAP1, and CDKN3 were also associated with CIN2/3. The sensitivity and specificity of CDKN3 and NUSAP1 to detect CIN2+ was approximately 90%. The proteins encoded by all 6 genes were shown upregulated in CC by immunohistochemistry. The association of these markers with survival was investigated in 42 CC patients followed up for at least 42 months. Only CDKN3 was associated with poor survival and it was independent from clinical stage (HR = 5.9, 95%CI = 1.4–23.8, p = 0.01). CDKN3 and NUSAP1 may be potential targets for the development of screening methods. Nevertheless, further studies with larger samples are needed to define the optimal sensitivity and specificity. Inhibition of mitosis is a well-known strategy to combat cancers. Therefore, CDKN3 may be not only a screening and survival marker but a potential therapeutic target in CC. However, whether it’s indispensable for tumor growth remains to be demonstrated.

Functional activity of voltage-gated sodium channels (VGSC) has been associated to the invasion and metastasis behaviors of prostate, breast and some other types of cancer. We previously reported the functional expression of VGSC in primary cultures and biopsies derived from cervical cancer (CaC). Here, we investigate the relative expression levels of VGSC subunits and its possible role in CaC. Quantitative real-time PCR revealed that mRNA levels of Na V 1.6 a-subunit in CaC samples were~40-fold higher than in noncancerous cervical (NCC) biopsies. A Na V 1.7 a-subunit variant also showed increased mRNA levels in CaC (~20-fold). All four Na V b subunits were also detected in CaC samples, being Na V b1 the most abundant. Proteins of Na V 1.6 and Na V 1.7 a-subunits were immunolocalized in both NCC and CaC biopsies and in CaC primary cultures as well; however, although in NCC sections proteins were mainly relegated to the plasma membrane, in CaC biopsies and primary cultures the respective signal was stronger and widely distributed in both cytoplasm and plasma membrane. Functional activity of Na V 1.6 channels in the plasma membrane of CaC cells was confirmed by whole-cell patch-clamp experiments using Cn2, a Na V 1.6-specific toxin, which blocked 30% of the total sodium current. Blocking of sodium channels VGSC with tetrodotoxin and Cn2 did not affect proliferation neither migration, but reduced by~20% the invasiveness of CaC primary culture cells in vitro assays. We conclude that Na V 1.6 is upregulated in CaC and could serve as a novel molecular marker for the metastatic behavior of this carcinoma.Cervical cancer (CaC) is the third most common female tumor worldwide and the second in developing countries, with an estimated annual incidence of 452,000 cases. 1 In view of the finding that carcinogenic human papillomavirus (HPV) infections cause virtually all CaC cases, recently a new approach for CaC prevention has emerged with the HPV vaccination of younger women (aged 18 years). 2 Despite the highly significant advance that the vaccine itself represents, a mathematical model has predicted an increase in CaC incidence if vaccination is not followed by a continuous Pap smear screening program. 3 Therefore, the finding of effective diagnosis and therapeutic strategies for CaC still remains as a priority.Lately, there has been an increasing amount of evidences that correlate the function of ion channels with several aspects of cancer progression. 4,5 In particular, voltage-gated sodium channels (VGSC) have been clearly associated to invasion and metastasis behaviors in several types of cancer, including breast, colon, lung, ovary and prostate. 6-10 Sodium channels are protein complexes formed by a large a-subunit and smaller auxiliary b-subunits. The a-subunit alone is sufficient to form a functional channel, but its biophysical properties, trafficking and anchoring to the cell membrane are modulated by b-subunits. 11 The VGSC family is composed by nine different a-subunits (Na V 1.1-Na V 1.9) and four bsubunits (Na...